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Study sets matching "medical coding chapter 1"

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Study sets matching "medical coding chapter 1"

56 terms
Medical Billing, Coding, and Insurance-Chapter 1
Cash Flow
Accounts Receivable (AR)
Accounts Payable (AP)
Revenue Cycle Management (RCM)
movement of monies into or out of a business.
monies owed to a medical practice.
a practice's operating expenses.
process of making sure sufficient monies flow into the practi…
Cash Flow
movement of monies into or out of a business.
Accounts Receivable (AR)
monies owed to a medical practice.
Medical Coding Chapter 1
What type of profession might a skille…
What coding is used in Outpatient Coding
What coding is used in Inpatient Coding
What is a Midlevel Provider
Consultants, Educators or Medical Auditor
CPT, HCPCS Level II, ICD-9Cm Vol 1 & 2
ICD-9CM Vol 1, 2, 3; MS-DRG
Physician Assistants and Nurse Practitoner's that work under…
What type of profession might a skille…
Consultants, Educators or Medical Auditor
What coding is used in Outpatient Coding
CPT, HCPCS Level II, ICD-9Cm Vol 1 & 2
10 terms
CPT Medical Coding Chapter 1-Introduction to CPT
Category I
Category II
Category III
Current Procedural Terminology (CPT)
codes from the main sections of CPT
tracking codes; not mandatory
codes for collection of statistical data
coding system developed by the American Medical Association (…
Category I
codes from the main sections of CPT
Category II
tracking codes; not mandatory
56 terms
Medical Billing, Coding, and Insurance-Chapter 1
Cash Flow
Accounts Receivable (AR)
Accounts Payable (AP)
Revenue Cycle Management (RCM)
movement of monies into or out of a business.
monies owed to a medical practice.
a practice's operating expenses.
process of making sure sufficient monies flow into the practi…
Cash Flow
movement of monies into or out of a business.
Accounts Receivable (AR)
monies owed to a medical practice.
16 terms
Medical billing and coding chapter 1
CPT
Patient record
Physician query process
Assumption coding
Coding system used by physicians and outpatient healthcare se…
Business record for inpatient or outpatient encounter that do…
Contacting the responsible physician to request clarification…
Inappropriate assignment of codes based on assuming from a re…
CPT
Coding system used by physicians and outpatient healthcare se…
Patient record
Business record for inpatient or outpatient encounter that do…
24 terms
Understanding Medical Coding Chapter 1
HCPCS Level 1 codes
OIG
Certification
Compliance
CPT codes
Office of inspector general formed under HIPPA
Provides validity of the knowledge and skills necessary to ac…
Aa written plan which would include educating all staff in th…
HCPCS Level 1 codes
CPT codes
OIG
Office of inspector general formed under HIPPA
10 terms
Medical Billing and Coding Chapter 1
Managed Care
3 Categories of a Physician's Practice
Patient Account Services (PAS)
Centralized Billing Office (CBO)
Used to describe a system in which healthcare delivery is mon…
1. Solo/Private Practice... 2. Small Group (3-9 physicians)... 3. L…
A facility that centralizes the process of billing patients a…
Specializes in (physicians' practices rather than hospitals)…
Managed Care
Used to describe a system in which healthcare delivery is mon…
3 Categories of a Physician's Practice
1. Solo/Private Practice... 2. Small Group (3-9 physicians)... 3. L…
12 terms
Medical Coding Training-Chapter 1
ABN
CMS-HCC
CPC
HCPCS
Advance Beneficiary Notice
Centers for Medicare &Medicaid Services--Hierarchical Conditi…
Certified Professional Coder
Healthcare Common Procedure Coding System
ABN
Advance Beneficiary Notice
CMS-HCC
Centers for Medicare &Medicaid Services--Hierarchical Conditi…
25 terms
Chapter 1 Medical Coding Basics
FISCAL AGENT
Insurance Identification Number
Gurantor
Insurance card
An association contracted to provide a system for processing…
The number that appears on the health plan identification car…
The individual responsible for the payment of the medical bill.
Identification issued to an insured person by his or her insu…
FISCAL AGENT
An association contracted to provide a system for processing…
Insurance Identification Number
The number that appears on the health plan identification car…
24 terms
CPT Medical Coding - Chapter 1
DHHS
CMS
MACS
QIOs
Department of Health and Human Services; responsible for the…
Centers for Medicare and Medicaid Services; responsible for t…
Medicare Administrative Contractors; handle the paperwork and…
Quality Improvement Organizations; formerly known as PROs; or…
DHHS
Department of Health and Human Services; responsible for the…
CMS
Centers for Medicare and Medicaid Services; responsible for t…
31 terms
Medical coding ICD-10 chapter 1&2
Breach of confidentiality
Centers for Medicare and Medicaid serv…
Confidentiality
Compliance
Unauthorized release of confidential patient information to a…
The government agency responsible for the administration of M…
Maintenance protection security and restriction of patient in…
Conforming or complying with a law rule regulation or guideline
Breach of confidentiality
Unauthorized release of confidential patient information to a…
Centers for Medicare and Medicaid serv…
The government agency responsible for the administration of M…
Medical Coding chapter 1 review
What edition of the federal register w…
What is the largest third party payer?
What government organization is respon…
What are the three items that the Medi…
November and december
American government
Centers for Medicare and Medicaid services (CMS)
Deductibles,premiums,and coinsurance
What edition of the federal register w…
November and december
What is the largest third party payer?
American government
Medical Coding and Billing Chapter 1
cash flow
accounts receivable
AR
Accounts Payable
movement of monies into or out of a business
monies owed to a medical practice
Accounts Receivable
a practice's operating expenses
cash flow
movement of monies into or out of a business
accounts receivable
monies owed to a medical practice
24 terms
Understanding Medical Coding Chapter 1
HCPCS Level 1 codes
OIG
Certification
Compliance
CPT codes
Office of inspector general formed under HIPPA
Provides validity of the knowledge and skills necessary to ac…
Aa written plan which would include educating all staff in th…
HCPCS Level 1 codes
CPT codes
OIG
Office of inspector general formed under HIPPA
46 terms
Chapter 1 Understanding medical coding
Coding
Coding occurs
CMS
HCPCS
Translation of diagnosis, procedures services and supplies in…
When a medical term is cross referenced into 3 4 r 5 alphanum…
Center for Medicare & Medicaid Services
Healthcare Common Procedure Coding System
Coding
Translation of diagnosis, procedures services and supplies in…
Coding occurs
When a medical term is cross referenced into 3 4 r 5 alphanum…
24 terms
CPT Medical Coding - Chapter 1
DHHS
CMS
MACS
QIOs
Department of Health and Human Services; responsible for the…
Centers for Medicare and Medicaid Services; responsible for t…
Medicare Administrative Contractors; handle the paperwork and…
Quality Improvement Organizations; formerly known as PROs; or…
DHHS
Department of Health and Human Services; responsible for the…
CMS
Centers for Medicare and Medicaid Services; responsible for t…
56 terms
Medical Billing, Coding, and Insurance-Chapter 1
Cash Flow
Accounts Receivable (AR)
Accounts Payable (AP)
Revenue Cycle Management (RCM)
movement of monies into or out of a business.
monies owed to a medical practice.
a practice's operating expenses.
process of making sure sufficient monies flow into the practi…
Cash Flow
movement of monies into or out of a business.
Accounts Receivable (AR)
monies owed to a medical practice.
24 terms
CPT Medical Coding - Chapter 1
DHHS
CMS
MACS
QIOs
Department of Health and Human Services; responsible for the…
Centers for Medicare and Medicaid Services; responsible for t…
Medicare Administrative Contractors; handle the paperwork and…
Quality Improvement Organizations; formerly known as PROs; or…
DHHS
Department of Health and Human Services; responsible for the…
CMS
Centers for Medicare and Medicaid Services; responsible for t…
24 terms
Medical Billing and Coding Chapter 1
APG
CMS
Comorbidity
Compliance Plan
Ambulatory patient group: A payment system similar to DRG but…
Centers for Medicare and Medicaid Services
An ongoing condition that exists with another condition for w…
A structured format stating office policies and procedures fo…
APG
Ambulatory patient group: A payment system similar to DRG but…
CMS
Centers for Medicare and Medicaid Services
29 terms
step by step medical coding chap1
1965
hospital/facility care
physician services & durable medical e…
Macs
The medicare program was established in:
Medicare Part A pays for:
Medicare Part B pays for:
Who handles the day-to-day operations of the Medicare program…
1965
The medicare program was established in:
hospital/facility care
Medicare Part A pays for:
56 terms
Medical Billing, Coding, and Insurance-Chapter 1
Cash Flow
Accounts Receivable (AR)
Accounts Payable (AP)
Revenue Cycle Management (RCM)
movement of monies into or out of a business.
monies owed to a medical practice.
a practice's operating expenses.
process of making sure sufficient monies flow into the practi…
Cash Flow
movement of monies into or out of a business.
Accounts Receivable (AR)
monies owed to a medical practice.
12 terms
Medical Coding Step by Step Chapter 1 theory
A and B
Centers for Medicare and Medicaid Serv…
Social Security Administration
65 and over; and some disabilities; an…
Two insurance programs were established in 1965 by the amendm…
The Secretary of DHHS has delegated responsibility for Medica…
Who administers funds for Medicare?
Who is eligible for Medicare?
A and B
Two insurance programs were established in 1965 by the amendm…
Centers for Medicare and Medicaid Serv…
The Secretary of DHHS has delegated responsibility for Medica…
56 terms
Medical Billing, Coding, and Insurance-Chapter 1
Cash Flow
Accounts Receivable (AR)
Accounts Payable (AP)
Revenue Cycle Management (RCM)
movement of monies into or out of a business.
monies owed to a medical practice.
a practice's operating expenses.
process of making sure sufficient monies flow into the practi…
Cash Flow
movement of monies into or out of a business.
Accounts Receivable (AR)
monies owed to a medical practice.
56 terms
Medical Billing, Coding, and Insurance-Chapter 1
Cash Flow
Accounts Receivable (AR)
Accounts Payable (AP)
Revenue Cycle Management (RCM)
movement of monies into or out of a business.
monies owed to a medical practice.
a practice's operating expenses.
process of making sure sufficient monies flow into the practi…
Cash Flow
movement of monies into or out of a business.
Accounts Receivable (AR)
monies owed to a medical practice.
18 terms
Medical Insurance and Coding Chapter 1
AAMA
ACA
AHIMA
AMA
American Association of Medical Assistants
American Collectors Association
American Health Information Management Association
American Medical Association
AAMA
American Association of Medical Assistants
ACA
American Collectors Association
10 terms
Chapter 1 Medical Billing & Coding
health maintenance organization (HMO)
point-of-service (POS) plan
preferred provider organization (PPO)
Capitation
A managed healthcare system in which providers agree to offer…
Also called an open HMO, reduces restrictions and allows memb…
Managed care organization structured as a network of healthca…
A fixed prepayment made to a medical provider for all necessa…
health maintenance organization (HMO)
A managed healthcare system in which providers agree to offer…
point-of-service (POS) plan
Also called an open HMO, reduces restrictions and allows memb…
56 terms
Medical Billing, Coding, and Insurance-Chapter 1
Cash Flow
Accounts Receivable (AR)
Accounts Payable (AP)
Revenue Cycle Management (RCM)
movement of monies into or out of a business.
monies owed to a medical practice.
a practice's operating expenses.
process of making sure sufficient monies flow into the practi…
Cash Flow
movement of monies into or out of a business.
Accounts Receivable (AR)
monies owed to a medical practice.
Medical Terminology for Coding and Insurance Chapter 1.
arth (o)
cardi (0)
dermat (o)
gastr (o)
joint
heart
skin
stomach
arth (o)
joint
cardi (0)
heart
31 terms
Medical coding training : chapter 1
ABN
AMA
APC
ARRA
Advance a Beneficiary Notice
American Medical Association
Ambulatory Payment Classification
American Recovery and Reinvestment Act of 2009
ABN
Advance a Beneficiary Notice
AMA
American Medical Association
46 terms
Medical Billing and Coding (Elsevier) Chapter 1 Definitions
-centesis
-desis
-ectomy
-graphy
Surgical puncture
Binding
Cutting out
Recording
-centesis
Surgical puncture
-desis
Binding
21 terms
Medical Billing and Coding Chapter 1
Manged Care
What percentage does physicians and nu…
Solo/private facilities
small group practice
a system in which healthcare is monitored. Health care provid…
40% of all healthcare providers
The receptionist and medical biller are often cross-trained.…
four or five general practitioner. they contract out their bi…
Manged Care
a system in which healthcare is monitored. Health care provid…
What percentage does physicians and nu…
40% of all healthcare providers
61 terms
Medical Coding-Ch 1
Part A
Part B
beneficiaries
Providers
(Medicare's Hospital Insurance) Pays for the cost of hospital…
(Medicare's Supplemental Medical Insurance) Pays for physicia…
Individuals covered under Medicare.
Physicians, hospitals, and other supplies that furnish care o…
Part A
(Medicare's Hospital Insurance) Pays for the cost of hospital…
Part B
(Medicare's Supplemental Medical Insurance) Pays for physicia…
40 terms
Medical Billing & Coding-Chapter 1(Lesson 1)
1965
hospital/facility care
physician services & durable medical e…
Macs
The medicare program was established in:
Medicare Part A pays for:
Medicare Part B pays for:
Who handles the day-to-day operations of the Medicare program…
1965
The medicare program was established in:
hospital/facility care
Medicare Part A pays for:
11 terms
Medical Billing and Coding Chap.1 (Prefix)
ab-
ad-
dys-
eu-
away from
toward or in direction of
bad, painful, difficult
good or normal
ab-
away from
ad-
toward or in direction of
21 terms
Basic Medical Coding Chapter 1 Vocabulary
Part A
Part B
Beneficiaries
providers
Hospital Insurance
Supplemental Medical Insurance
Individuals covered under Medicare
Physicians, hospitals, and other suppliers that furnish care…
Part A
Hospital Insurance
Part B
Supplemental Medical Insurance
Chapter 1 study Guide Medical Billing & Coding
Managed Care Contacts
Federal & State Insurance
HIPAA
Anatomy
The agreement between health care practitioners and insurance…
Medicaid and Medical are examples of stare
setting up any medical office system. Privacy laws CANNOT be…
Study of the location of body parts in an organism
Managed Care Contacts
The agreement between health care practitioners and insurance…
Federal & State Insurance
Medicaid and Medical are examples of stare
Medical Coding Acronyms Chapter 1 & 8
ICD-9-CM
ICD-10-PCS
CPT
HCPCS
International Classification of Disease- 9th Revision Clinica…
International Classification of Disease 10th Edition Procedur…
Current Procedural Terminology
Healthcare Common Procedural Coding System
ICD-9-CM
International Classification of Disease- 9th Revision Clinica…
ICD-10-PCS
International Classification of Disease 10th Edition Procedur…
143 terms
Basic Medical Coding Chapter 1-5
AHIMA
CMS
WHO
AHA
American Health Management Association
Centers for Medicare and Medicaid Services
World Health Orginization
American Hospital Association
AHIMA
American Health Management Association
CMS
Centers for Medicare and Medicaid Services
Medical Billing and Coding Chap.1 (Prefix)
ab-
ad-
dys-
eu-
away from
toward or in direction of
bad, painful, difficult
good or normal
ab-
away from
ad-
toward or in direction of
24 terms
Medical Billing & Coding Test Chapter 1
Health Insurance Claim
Healthcare Provider
Health Insurance Specialist/Reimbursem…
Claims Examiner
documentation submitted to a 3rd party payer requesting reimb…
physician or other healthcare practitioner "PA"
review health related claims to determine necessity
reviews health related claims, to determine if charges are re…
Health Insurance Claim
documentation submitted to a 3rd party payer requesting reimb…
Healthcare Provider
physician or other healthcare practitioner "PA"
56 terms
Medical Billing, Coding, and Insurance-Chapter 1
Cash Flow
Accounts Receivable (AR)
Accounts Payable (AP)
Revenue Cycle Management (RCM)
movement of monies into or out of a business.
monies owed to a medical practice.
a practice's operating expenses.
process of making sure sufficient monies flow into the practi…
Cash Flow
movement of monies into or out of a business.
Accounts Receivable (AR)
monies owed to a medical practice.
15 terms
Medical Billing and Coding Part II-Chapter 1
What edition of the Federal Register w…
What is the largest third-party payer?
What government organization is respon…
What are the three items that the Medi…
November or December
American government
Department of Health and Human Services
deductibles, premiums, and coinsurance
What edition of the Federal Register w…
November or December
What is the largest third-party payer?
American government
27 terms
Medical Billing & Coding Heald College: Chapter 1 | Role of Insurance Billing Specialist
Cash Flow
Revenue
Cycle
Charge Entry
The amount of actual money available in a medical practice.
Income of a clinic or medical practice.
The period of time and steps dedicated to billing patients an…
The process of posting charges into the system for billing an…
Cash Flow
The amount of actual money available in a medical practice.
Revenue
Income of a clinic or medical practice.
29 terms
step by step medical coding chap1
1965
hospital/facility care
physician services & durable medical e…
Macs
The medicare program was established in:
Medicare Part A pays for:
Medicare Part B pays for:
Who handles the day-to-day operations of the Medicare program…
1965
The medicare program was established in:
hospital/facility care
Medicare Part A pays for:
10 terms
Medical Billing and Coding (Elsevier) Chapter 1 Suffix
Arthrocentesis
Spirometer
Hystetoscopy
Cystoscope
Surgical puncture of a joint
Instrument to measure breathing
Viewing of uterus
Instrument to view bladder
Arthrocentesis
Surgical puncture of a joint
Spirometer
Instrument to measure breathing
133 terms
Medical Terminology & Anatomy for ICD -10 Coding; Chapter 1: Decoding Terms
gloss/o
-ary
bi-
lingu/o
tongue
pertaining to
two
tongue
gloss/o
tongue
-ary
pertaining to
74 terms
JWCC: OFT 284 Medical Coding ICD Chapter 1 Key Terms
application service provider (ASP)
Assessment (A)
assumption coding
automated case abstracting software
third-party entity that manages and distributes software-base…
judgment, opinion, or evaluation made by the health care prov…
inappropriate assignment of codes based on assuming, from a r…
software program that is used to collect and report inpatient…
application service provider (ASP)
third-party entity that manages and distributes software-base…
Assessment (A)
judgment, opinion, or evaluation made by the health care prov…
14 terms
Chapter 1 Review Basic Medical Coding
Why was the 1985 revision postponed
When should the final draft of the ICD…
What was the intended use for the clas…
What does the abbreviation CM represen…
need for restructuring due to extensive expansion
2014
tracking deaths
classification modification
Why was the 1985 revision postponed
need for restructuring due to extensive expansion
When should the final draft of the ICD…
2014
Medical Insurance Billing/Coding Chapter 1&18
In a medical practice, front office du…
Generally, a high school diploma is no…
Working in a physician's office as an…
The medical profession has long subscr…
F
F
F
F
In a medical practice, front office du…
F
Generally, a high school diploma is no…
F
Medical Billing and Coding Terminology Chap.1 (Word Root)
gastr/o
enter/o
arteri/o
nuer/o
stomach
small intestine
artery
nerve
gastr/o
stomach
enter/o
small intestine
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